AudiologyOnline Phone: 800-753-2160


Inventis - June 2021

How Do I Perform Pediatric Tests with Piano Plus VRA from Inventis?

Anna Scala

November 1, 2021

Share:

Question

How do I perform pediatric tests with Piano Plus VRA from Inventis?

Answer

Piano Plus VRA is one of the three models of the Inventis top-featured audiometer Piano. This audiometer can perform pure tone audiometry on the youngest patients through two most common approaches: Visual Reinforcement Audiometry (VRA) and Conditioned Play Audiometry (CPA). Figure 1. Depicts the pediatric audiometry test window.

Figure 1. Piano Plus VRA test screen.

This test performs pure tone audiometry and controls the reinforcements. The reinforcements can be of two types: toys in a darkened box and/or LCD displays showing pictures or animations.

Using the Toys as Reinforcement

In case you want to use the traditional interactive toys as reinforcement, they can be directly connected to the audiometer. The back panel of Piano Plus VRA features three additional outputs (stereo jack ¼”) for controlling up to three toys; the stereo jack cable (included with every toy) also brings a power supply to the toy. The toys are enclosed in a wooden box, with a darkened Plexiglas window; when the toy is activated, the internal LEDs turn on, so that the child can see the plush lighting up. The available toys are Peanuts the Dog and Jack the Donkey.

Figure 2. Piano Plus VRA toys as reinforcement: Peanuts the Dog and Jack the Donkey.

Using the Displays as Reinforcement

Figure 3. Piano Plus VRA Maestro software dedicated screen.

One of the key points of Piano Plus VRA is the ability to use images and animations on up to three LCD displays as reinforcement. The displays are controlled through a computer with multiple video outputs, on which you need to install Maestro software.

The possibility to perform the pure tone audiometry test on the youngest patients using LCD displays as reinforcement is available also in Cello, Inventis PC-based diagnostic audiometer.

The main features of Maestro software for the video-VRA are:

  • Real-time audiogram on the display (“Monitor” function)
  • Selection of the images/animations to be used on the displays and control of the delivery
  • Control of the baby’s feedbacks through a webcam

The displays can be used in connection or in substitution of the traditional toys. Like with the toys, you can configure the system with one, two, or three LCD displays dedicated to the reinforcement (plus one display for the operator).

System Configuration

Figure 4 depicts a typical configuration for a complete VRA system.

Figure 4. Piano Plus VRA configuration for a complete VRA system.

Please watch this video for more information: Inventis Piano • Introduction

To learn more about Inventis please visit their Corporate Partner page on AudiologyOnline or inventis.it


anna scala

Anna Scala

Education Manager, Inventis

Anna received her specialization in Biomedical Engineering from Padua University. She has worked as technical-data processing consultant, healthcare sector, for several years. At Inventis, she follows the customer care activities and, as Education Manager, she is in charge of the company’s educational programs as well as of the scientific divulgation events for clinicians and audiologists.


Related Courses

REM Workshop Part 1: Scientific Principles Underlying the Common Verification Techniques
Presented by Jay Jindal, AuD, Nicole DaRocha
Recorded Webinar
INVENTIS • Audiology Equipment

Presenters

Jay Jindal, AuDNicole DaRocha
Course: #37137Level: Intermediate2.5 Hours
  'Very good review of REM'   Read Reviews
A complete, practical course in the verification of hearing device fittings. Our experts will cover all clinically important aspects of real-ear measurements, which is an excellent initial reference point for the hearing care professional and his clients to start the journey of better hearing. In this 1st session, the speakers will talk about the scientific principles underlying the common verification techniques.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

REM Workshop Part 2: Setting Up and Verifying Various Fitting Parameters via Real Ear Measurements
Presented by Jay Jindal, AuD, Nicole DaRocha
Recorded Webinar
INVENTIS • Audiology Equipment

Presenters

Jay Jindal, AuDNicole DaRocha
Course: #37143Level: Intermediate2.5 Hours
  'Incredible content, a fascinating experience'   Read Reviews
A complete, practical course in the verification of hearing device fittings. Our experts will cover all clinically important aspects of real-ear measurements, which is an excellent initial reference point for the hearing care professional and his clients to start the journey of better hearing. This 2nd session covers the setting and verification of the various fitting parameters via real-ear measurements.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Vestibular and Balance Assessment in Children with Sensorineural Hearing Loss: An Overview
Presented by Nor Haniza Abdul Wahat, PhD
Recorded Webinar
INVENTIS • Audiology Equipment

Presenter

Nor Haniza Abdul Wahat, PhD
Course: #36958Level: Intermediate1 Hour
  'The review of the literature was comprehensive, and the conclusions drawn were well-connected to clinical experience of the presenter'   Read Reviews
Over the past five years, we have seen a growing interest in studying vestibular disorders in children. The most commonly noteworthy are vestibular disorders in congenital sensorineural hearing loss (SNHL) and cochlear implants. Identifying and diagnosing vestibular and balance dysfunction in children is essential for their overall well-being. However, the diagnosis process is very demanding.This talk will provide an overview of vestibular and balance assessments in children with SNHL.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Real-Time Diagnostic Tele-Audiology: The Future is Now!
Presented by Elizabeth Thompson, AuD
Recorded Webinar
INVENTIS • Audiology Equipment

Presenter

Elizabeth Thompson, AuD
Course: #37019Level: Intermediate1 Hour
  'The presenter was great, and the content was clear'   Read Reviews
The need for real-time diagnostic tele-audiology solutions continues to grow as the demand for audiology services expands. This course discusses the benefits of tele-audiology, the opportunities for use and how Satellite by Inventis is uniquely positioned to deliver by providing tools that allow providers to interact and perform complete hearing assessments remotely in real-time.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Superior Canal Dehiscence Syndrome: Clinical-Instrumental Aspects and Atypical Scenarios
Presented by Andrea Castellucci, MD
Recorded Webinar
INVENTIS • Audiology Equipment

Presenter

Andrea Castellucci, MD
Course: #37278Level: Advanced1.5 Hour
  'Relevant testing/diagnosis information'   Read Reviews
Besides typical symptoms and signs (including pulsatile tinnitus, hyperacusis, pressure/sound-induced torsional nystagmus, conductive hearing loss and lowered thresholds of air-conducted VEMPs) an analysis of the relevant literature reveals a certain clinical polymorphism induced by superior canal dehiscence (SCD). In addition to asymptomatic persons or subjects with SCD presenting exclusively with cochlear symptoms (only partly explained by the so-called “near-dehiscence syndrome”), SCD cases mainly presenting with atypical/refractory/recurrent positional vertigo and/or Meniere-like vertigo spells have been recently described. Moreover, if surgical occlusion of the superior canal (SC) results in symptoms control inducing a selective SC hypofunction, clinicians my sometimes accidentally detect a reduced SC VOR gain in asymptomatic patients with wide-sized dehiscence. These findings led authors to propose the occurrence either of a natural SC plugging (complete or incomplete) by middle fossa dura prolapsing into the canal lumen or a dispersion of mechanical energy through the dehiscence. Typical and atypical scenarios is presented. A subsample of patients from the personal series with a complete otoneurologic assessment (audiometry, VOG eye recording, air/bone-conducted cervical/ocular VEMPs, video head impulse test) is selected to explain these emerging theories on possible pathomechanisms.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More